A Cost of Illness Study of Children with High-Functioning Autism Spectrum Disorders and Comorbid Anxiety Disorders as Compared to Clinically Anxious and Typically Developing Children

被引:6
作者
van Steensel, Francisca J. A. [1 ]
Dirksen, Carmen D. [2 ]
Bogels, Susan M. [1 ]
机构
[1] Univ Amsterdam, Res Inst Child Dev & Educ, NL-1018 VZ Amsterdam, Netherlands
[2] Maastricht Univ, Med Ctr, Dept Clin Epidemiol & Med Technol Assessment KEMT, NL-6202 AZ Maastricht, Netherlands
关键词
ASD; Anxiety; Costs; Cost of illness; PERVASIVE DEVELOPMENTAL DISORDERS; HEALTH-CARE EXPENDITURES; PSYCHIATRIC-DISORDERS; PREVALENCE; RATES; INTERVIEW; US;
D O I
10.1007/s10803-013-1835-6
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
The study's aim was to estimate the societal costs of children with high-functioning ASD and comorbid anxiety disorder(s) (ASD + AD-group; n = 73), and to compare these costs to children with anxiety disorders (AD-group; n = 34), and typically developing children (controls; n = 87). Mean total costs for the ASD + AD-group amounted a,not sign17,380 per year. Societal costs were estimated at almost 142 million euro per year. Costs in the ASD + AD-group were four times higher compared to the AD-group, and 27 times higher compared to controls. ASD-related costs were higher in the ASD + AD-group; anxiety-related costs did not differ between the ASD + AD- and AD-group; costs due to physical or other reasons did not differ across groups. The findings suggest that costs can be decreased if effective treatment options for treating anxiety in ASD are established, however, the remaining costs associated with ASD would still be large. A limitation of the study is that a group of children with ASD without anxiety disorders is lacking.
引用
收藏
页码:2878 / 2890
页数:13
相关论文
共 40 条
[1]  
[Anonymous], 2010, DUTCH GUID COST RES
[2]  
[Anonymous], 2010, HANDLEIDING KOSTENON
[3]  
APA A.P. A., 2000, Diagnostic and statistical manual of mental disorders: DSM-IV, V4th
[4]   Societal burden of clinically anxious youth referred for treatment:: A cost-of-illness study [J].
Bodden, Denise H. M. ;
Dirksen, Carmen D. ;
Bogels, Susan M. .
JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 2008, 36 (04) :487-497
[5]  
Bodden Denise H M, 2008, Clin Child Psychol Psychiatry, V13, P543, DOI 10.1177/1359104508090602
[6]  
Briggs AH, 1997, HEALTH ECON, V6, P327, DOI 10.1002/(SICI)1099-1050(199707)6:4<327::AID-HEC282>3.0.CO
[7]  
2-W
[8]   Economic note - Cost of illness studies [J].
Byford, S ;
Torgerson, DJ ;
Raftery, J .
BRITISH MEDICAL JOURNAL, 2000, 320 (7245) :1335-1335
[9]   Treating anxiety disorders in children with high functioning Autism Spectrum Disorders: A controlled trial [J].
Chalfant, Anne Marie ;
Rapee, Ron ;
Carroll, Louisa .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2007, 37 (10) :1842-1857
[10]   The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity [J].
Costello, EJ ;
Egger, HL ;
Angold, A .
CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA, 2005, 14 (04) :631-+